Acquired brain injury: acute management

Nutton, Lesley

doi:10.1016/b978-0-7506-8886-4.50015-2

Cited by 2 publications

(1 citation statement)

References 63 publications

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“…Paediatric acquired brain injury (pABI) is a leading cause of death and acquired disability in children and adolescents, and refers to a brain insult sustained after birth (the term "children" will henceforth be used to refer to children and adolescents) (1)(2)(3). pABI can arise as a result of a range of causes, including traumatic brain injury (TBI), cerebrovascular accident (stroke), brain tumour, cerebral anoxia (oxygen deprivation), or infections such as encephalitis or meningitis (3)(4)(5). This wide range of pABI causes has led to difficulty in accurately estimating incidence.…”

Section: Introductionmentioning

confidence: 99%

Family-centred service in paediatric acquired brain injury rehabilitation: Bridging the gaps

Jenkin

Anderson

D’Cruz

et al. 2022

Front. Rehabilit. Sci.

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BackgroundChildren and adolescents who sustain an acquired brain injury (ABI) can experience acute and ongoing difficulties in a range of cognitive and functional domains, and their families often experience significant life changes and challenges. Family-centred service is therefore considered best practice in paediatric ABI rehabilitation. Despite widespread acceptance of family-centred service in this context, recent literature indicates that family needs are often unrecognised and unmet following paediatric ABI. Although family-centred service was introduced in the field of developmental disability over five decades ago, there remains a lack of clarity about how this approach is implemented in practice. Additionally, limited literature has discussed the implementation of family-centred service in paediatric ABI rehabilitation despite key differences between ABI and developmental disability, including nature and timing of onset, rehabilitation foci, and impacts on families.AimsIn this review, we aim to: (i) outline common sequelae of paediatric ABI with a focus on family outcomes; (ii) summarise paediatric rehabilitation and highlight opportunities for family support and involvement; (iii) discuss and synthesise literature across paediatric ABI rehabilitation and family-centred service to highlight gaps in knowledge and practice; and (v) identify clinical implications and future research directions.ConclusionsThere is a clear need for greater clarity and consensus regarding the implementation of family-centred service in paediatric ABI rehabilitation. This review highlights the importance of providing professional development opportunities for clinicians to increase competency in practising in a family-centred manner, and opportunities to actively involve, empower and support families within rehabilitation. This review also emphasises the importance of services implementing relevant supports to address family needs where possible and developing clear referral pathways so that families can access further support elsewhere when needed.

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Section: Introductionmentioning

confidence: 99%

Family-centred service in paediatric acquired brain injury rehabilitation: Bridging the gaps

Jenkin

Anderson

D’Cruz

et al. 2022

Front. Rehabilit. Sci.

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Fatigue following Paediatric Acquired Brain Injury and its Impact on Functional Outcomes: A Systematic Review

et al. 2018

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Fatigue is a commonly reported sequela following an acquired brain injury (ABI), and can have a negative impact on many areas of a child's life. However, there is minimal research that focuses on fatigue specifically, and so factors such as its occurrence, duration, and impact on functioning remain uncertain. This systematic review aims to provide a comprehensive summary of the research to date, bringing together a number of studies with a focus on paediatric ABI and fatigue. Terms were searched in relevant databases (PsycInfo, Medline, CINAHL), and articles were included or excluded based on specified criteria. Of the 1177 papers identified in the original search, a total of 9 papers met inclusion criteria, and were categorised as traumatic brain injury (TBI; n = 4), meningitis and meningococcal disease (n = 2), brain tumours (n = 2), and mixed ABI group (n = 1). Key findings suggest that fatigue is a problem encountered by a significant proportion of patients in all the studies reviewed, and often occurred regardless of the cause; fatigue was also associated with poor academic achievement, limited physical activity, and social and emotional problems. Injuries of greater severity were associated with higher levels of fatigue and worse outcomes. Several management options were suggested, though their efficacy was not reported. Future research is required with a suggested focus on using multiple time points to better understand the trajectories of fatigue following childhood ABI, and to build an evidence base to determine which management options are most suitable.

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Acquired brain injury: acute management

Cited by 2 publications

References 63 publications

Family-centred service in paediatric acquired brain injury rehabilitation: Bridging the gaps

Family-centred service in paediatric acquired brain injury rehabilitation: Bridging the gaps

Fatigue following Paediatric Acquired Brain Injury and its Impact on Functional Outcomes: A Systematic Review

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